How much rates vary
Facilitymedian $427 · 10th to 90th $331 to $490Professionalmedian $282 · 10th to 90th $209 to $537
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier None Typical Low $251.19 Median $281.84 Typical High $281.84 | Professional | None | $251.19 | $281.84 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $316.23 | Professional | None | $229.09 | $229.09 | $316.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $363.08 Median $977.24 Typical High $1,202.26 | Professional | None | $363.08 | $977.24 | $1,202.26 |
Moda Health Setting Facility Modifier None Typical Low $281.84 Median $354.81 Typical High $478.63 | Facility | None | $281.84 | $354.81 | $478.63 |
Moda Health Setting Professional Modifier None Typical Low $275.42 Median $371.54 Typical High $478.63 | Professional | None | $275.42 | $371.54 | $478.63 |
Pacific Source Setting Facility Modifier None Typical Low $380.19 Median $426.58 Typical High $478.63 | Facility | None | $380.19 | $426.58 | $478.63 |
Pacific Source Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Providence Setting Facility Modifier None Typical Low $295.12 Median $316.23 Typical High $478.63 | Facility | None | $295.12 | $316.23 | $478.63 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $229.09 Typical High $467.74 | Professional | None | $79.43 | $229.09 | $467.74 |
Regence BlueShield Setting Facility Modifier None Typical Low $380.19 Median $758.58 Typical High $1,819.70 | Facility | None | $380.19 | $758.58 | $1,819.70 |
Regence BlueShield Setting Professional Modifier None Typical Low $489.78 Median $537.03 Typical High $537.03 | Professional | None | $489.78 | $537.03 | $537.03 |
United Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $912.01 | Facility | None | $676.08 | $676.08 | $912.01 |
United Setting Professional Modifier None Typical Low $190.55 Median $208.93 Typical High $407.38 | Professional | None | $190.55 | $208.93 | $407.38 |
8 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $125.89 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $50.12 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $42.66 Typical High $42.66 | Professional | 55 · Aftercare only | $38.02 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $28.18 Typical High $28.18 | Professional | 56 · Pre-op care only | $25.12 | $28.18 | $28.18 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $131.83 | $141.25 | $141.25 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $53.70 | $57.54 | $57.54 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $42.66 Typical High $42.66 | Professional | 55 · Aftercare only | $39.81 | $42.66 | $42.66 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $28.18 Typical High $28.18 | Professional | 56 · Pre-op care only | $26.92 | $28.18 | $28.18 |
Where Oregon sits
The same service costs 2.6 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Oregon· 14th of 51
$380
HI $589DE $229
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.